Open AccessLaryngospasm Caused by Removal of Nasogastric Tube after Tracheal Extubation: Case Report
Author(s) -
Takashi Hoshi
Publication year - 2021
Publication title -
hsoa journal of anesthesia and clinical care
Language(s) - English
Resource type - Journals
ISSN - 2378-8879
DOI - 10.24966/acc-8879/100061
Subject(s) - laryngospasm , medicine , anesthesia , tracheal tube , surgery , tube (container) , complication , airway , intubation , mechanical engineering , engineering
Background: We report a case of laryngospasm during nasogastric tube removal. Laryngospasm is a severe airway complication after surgery and there have been no reports associated with the removal of nasogastric tubes. Case Report: After abdominal surgery, the patient was extubated the tracheal tube, and was removed the nasogastric tube. Thereafter patient went into respiratory arrest. We attempted to ventilate using a face mask, and then through a supraglottic device, but both attempts were unsuccessful. Finally, we re-intubated her and stabilized her vitals. Conclusion: When patients are in emerging from anesthesia, nasogastric tube withdrawal may cause irritation of the vocal cords by gastric acids, and thereby, provoke laryngospasm. This can be avoided by removing it before reversing anesthesia or after the patient is awake.